VICTOR QUINN
Dependent on policy B07M000337
Claims
3
Attributed to this person
Charged
1,946.00
Total submitted
Denied
1,946.00
3 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | VICTOR QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000337 |
| Date of birth | 19 Aug 2008 |
| Plan | GOLD PPO |
| Covered from | 30 May 2024 |
| Covered to | 13 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001445 | 30 Dec 2024 | 718.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 718.00 |
| CLM0001444 | 13 Oct 2024 | 706.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 706.00 |
| CLM0001443 | 27 Jun 2024 | 522.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 522.00 |